Clinical observation of cataract phacoemulsification combined with trabeculectomy for treatment of glaucoma complicated with cataract treatment / 中国基层医药

ABSTRACT

Objective To investigate the phacoemulsification combined with trabeculectomy in glaucoma complicated with cataract treatment clinical curative effect.Methods 72 cases of glaucoma patients with cataract were randomly divided into the combined group and control group with 36 cases in each group,the combined group using phacoemulsification and trabeculectomy in the treatment,while the control group was treated with trabeculecto-my,combined group and control differences in visual acuity,intraocular pressure,anterior chamber depth and postoper-ative complications of patients were compared.Results After treatment,the two groups of intraocular pressure ( list the concrete data ) , anterior chamber depth ( list the concrete data ) were ( list the concrete data ) significantly improved (t=2.98,3.06,15.21,5.17,all P<0.05).In addition,the intraocular pressure after the operation of the combination group (10.65 ±1.58) mmHg,anterior chamber depth (2.41 ±0.81) mm compared with the control group after obvious difference (t=4.98,3.22,all P<0.05).In 1 weeks after operation,1 months and 3 months com-bined group's vision is significantly superior to the control group (t=2.87,3.38,4.01,all P<0.05).The incidence of complications of operation united group ( 11.11%) was significantly lower than the control group ( 25.00%) (χ2 =3.98,P<0.05).Conclusion Compared with the traditional method,phacoemulsification and trabeculectomy for glaucoma and cataract treatment has obvious curative effect,low incidence of adverse reactions,postoperative IOP control satisfaction,faster visual recovery characteristics,deserves generalization and application.